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SGR Has Worked and Cut Entitlement CostsSGR Has Worked and Cut Entitlement Costs

In advocating to eliminate scheduled Medicare savings, you miss the fact that the Sustainable Growth Rate formula has resulted in substantial health-care savings since its enactment

Feb. 27, 2014 4:53 p.m. ET

The Journal takes an odd tack by supporting unpaid for spending increases in "Fixing the 'Doc Fix'" (Review & Outlook, Feb. 19). In advocating to eliminate scheduled Medicare savings, you miss the fact that the sustainable growth rate formula has resulted in substantial health-care savings since its enactment, including three reforms to the Affordable Care Act, numerous reductions to Medicare overpayments and changes to the way Medicare pays for radiology, imaging and post-acute care. Although the SGR itself hasn't gone into effect since 2002, nearly every delay has been paid for through reductions in...